Although lung cancer screening (LCS) with annual low-dose chest CT has been shown to reduce lung cancer deaths, it remains underutilized. Northern Plains American Indian and Alaska Native (AI/AN) communities experience extreme lung cancer disparities, and little is known about the acceptance and adoption of LCS in these groups. We conducted interviews with healthcare professionals and focus groups with patients in an urban Minnesota community clinic serving AI/AN. Data collection took place during winter 2019–2020. Indigenous researchers collected and analyzed the data for emergent themes using simultaneous collaborative consensus with a LCS researcher. Participants reported some similar barriers to LCS as previous studies reported but also shared some new insights into traditional ways of knowing and recommendations for effectively implementing this evidence-based preventive care service. Lung screening is largely acceptable to patients and healthcare personnel in an AI/AN–serving community clinic. We identified barriers as previously reported in other populations but also identified some unique barriers and motivators. For example, the concept of the seven generations may provide motivation to maintain one’s health for future generations while providing additional support during screening for persons traumatized by the Western medicine health system may facilitate increased screening uptake.
Bibliographical noteFunding Information:
This research was supported by the Masonic Cancer Center and Program for Health Disparities Research at the University of Minnesota (PIs A. Begnaud and A. L. Stately) as well as the NIH’s National Center for Advancing Translational Sciences, grant UL1TR002494 (to PIs A. Begnaud and K.M. Roland). Data analysis was performed by M.D. Anderson, W.J. Pickner, and A. Begnaud. Funding was acquired by A. Begnaud and A.L. Stately. The first draft of the manuscript was written by A. Begnaud and all authors commented on later versions of the manuscript. All authors read and approved the final manuscript. We would like to acknowledge the valuable contributions of: Dr. Kari Rabie (Medical Officer), Dr. Antony L Stately (chief executive officer), Shannon Fahey (Information Officer), and Moriah Johnson RD, LD, CDE (Community Health Manager) at the Native American Community Clinic.
This research was supported by the Masonic Cancer Center and Program for Health Disparities Research at the University of Minnesota (PIs A. Begnaud and A. L. Stately) as well as the NIH’s National Center for Advancing Translational Sciences, grant UL1TR002494 (to PIs A. Begnaud and K.M. Roland).
©2023 The Authors; Published by the American Association for Cancer Research.
PubMed: MeSH publication types
- Journal Article
- Research Support, Non-U.S. Gov't
- Research Support, N.I.H., Extramural